Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) results from increased pressure on one of the nerves in the wrist and hand. In patients with carpal tunnel syndrome, this nerve is compressed as it passes through the wrist. Because of the compression, the nerve does not function properly.

There are many symptoms of CTS, but the condition

typically causes numbness and tingling (paresthesias) in the hand, weakness in some of the muscles of the hand, and pain in the hand and wrist. Many of these symptoms become more pronounced at night, and patients with this condition often complain of inability to sleep.

Surgery has been proven very effective in the treatment of CTS. Carpal Tunnel Release involves an incision in the palm of the hand dividing the “roof” of the carpal tunnel. By dividing the "roof", the space for the nerve is increased and the pressure is decreased around the nerve, leading to improvement of symptoms in the vast majority of cases.

The most common form of carpal tunnel release is the "open" technique. To perform this procedure, the surgeon creates a two to four centimeter incision across the middle of the palm. The procedure takes approximately five to ten minutes, and can be performed under local anesthesia.

Carpal tunnel release surgery is typically an outpatient procedure, and in some cases, can be done in the office. A soft dressing is applied after surgery, and sutures are removed approximately seven to ten days after the procedure. Occasionally, physical therapy may be useful for functional return.

If you have CTS symptoms, please contact Schneck Orthopedics and Sports Medicine by requesting an appointment or calling (812) 524-3311.